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#kidney transplant Procedure
drforambhuta · 8 months
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The journey toward a successful kidney transplant in patients with intricate medical backgrounds begins with a thorough evaluation. This evaluation, reminiscent of a detective's investigation, goes beyond standard assessments. It requires a deep understanding of the individual's health history, delving beneath the surface. Key considerations during this complex phase encompass:
1. Coexisting Conditions and Comprehensive Assessment: Patients often bring a multitude of concurrent health issues to the kidney transplantation evaluation. These may include conditions like diabetes, hypertension, cardiovascular disease, or a history of prior cancers. The challenge here is not just identifying these conditions but understanding how they interact within the individual's intricate medical history. It's about recognizing that each condition plays a unique role, and listening to each one is crucial.
2. Medication Histories as Detailed Narratives: The medication history of these patients reads like a detailed narrative, with chapters of various drugs coursing through their bodies. Some of these medications may pose risks to the transplanted organ, while others may interact with post-transplant immunosuppressive regimens. Navigating this complex narrative requires a thorough exploration of the patient's medication history, as even the smallest detail can significantly impact the kidney transplant procedure outcome.
3. Surgical History: Navigating the Terrain: Previous surgeries often leave lasting marks, resulting in adhesions, anatomical changes, or altered blood vessels. These surgical imprints require not just a plan but a comprehensive mapping approach when planning the kidney transplant surgery. The surgical team must be well-prepared to navigate any potential complexities.
4. The Concealed Threat of Infections: Complex medical histories often carry a heightened risk of hidden infections, such as hepatitis B or C. Therefore, a rigorous screening process is essential to uncover these concealed threats. Additionally, implementing appropriate management strategies is crucial to prevent these infections from becoming active and causing issues after the transplant.
5. Psychosocial Aspects in the Patient's Story: Patients with complex medical histories bear not only physical ailments but also the emotional burden of their journeys. Their mental well-being, supported by strong social networks, is a fundamental aspect of successful transplantation. Thus, evaluating and addressing psychosocial factors is not just a clinical requirement but also an ethical obligation.
You can undergo a thorough evaluation under the guidance of some of the best doctors at Indraprastha Apollo Hospitals in New Delhi, which is considered to some of the best healthcare facilities for a kidney transplantation, to check if you re a good candidate for a kidney transplant. The cost of kidney transplant in Delhi generally varies from INR 6,00,000 to INR 10,00,000.
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marciadbanas21 · 9 months
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A kidney transplant is a surgical procedure that replaces a damaged or failed kidney with a healthy one.
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medantahospital606 · 1 year
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Evolution of robotic surgery in kidney transplant | Medanta
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compayur · 8 months
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Understanding Renal Transplantation: A Lifesaver for Kidney Failure Patients
    Renal transplantation, or kidney transplant, is a surgical procedure that has revolutionized the treatment of kidney failure. This procedure involves replacing a diseased kidney with a healthy one from a donor. The Need for Renal Transplantation Kidneys are vital organs that filter waste, minerals, and fluid from the blood. When kidneys lose this filtering ability, harmful levels of fluid and…
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tretmentpossible · 2 years
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sowmyasrinivasan · 2 years
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Understanding the procedure of renal transplantation surgery
Want to know about renal transplantation? Get a detailed explanation of the procedure and what involves in kidney transplant in this article.
Website >> https://www.sriramakrishnahospital.com/understanding-the-procedure-of-renal-transplantation-surgery/
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afeelgoodblog · 9 months
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The Best News of Last Week - September 11, 2023
Sorry for not sending last week's issue as I got covid again :/ I passed it, so here's the best things that happened last week :)
1. The IRS plans to crack down on 1,600 millionaires to collect millions of dollars in back taxes
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The IRS announced on Friday it is launching an effort to aggressively pursue 1,600 millionaires and 75 large business partnerships that owe hundreds of millions of dollars in past due taxes. The newly announced tax collection effort will begin as soon as October. “We have more hiring to do,” Werfel said. “It’s going to be a very busy fall for us.”
2. The NGO African Parks announced it would purchase the world’s largest population of privately owned white rhinos
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Africa’s beleaguered rhinos have been thrown a significant lifeline with the announcement that nearly 2,000 semi-wild rhinos owned by South African rhino breeder John Hume will be “rewilded” into reserves across South Africa and other parts of the continent over the next 10 years.
3. Mexico supreme court decriminalizes abortion across country
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Mexico’s supreme court has unanimously ruled that state laws prohibiting abortion are unconstitutional and violate women’s rights, in the latest in a series of victories for reproductive rights activists across Latin America.
Wednesday’s ruling came two years after the court ordered the northern state of Coahuila to remove sanctions for abortion from its criminal code, a decision which prompted a tortuous state-by-state process of legal battles. So far 12 of Mexico’s 31 states have decriminalized the procedure.
4. The first human organ created inside an animal opens the door to manufacturing ‘spare parts’ for people
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It is a historic image. A team of researchers in China has successfully generated a blueprint of a human organ in another animal for the first time. The experiment, conducted with humanized kidneys in pig embryos, represents a step toward the still-distant dream of using other mammals as source of organs for transplants.
5. Study Shows a Single Dose of Psilocybin's Astonishing Impact on Depression and Could Change Medical Treatments of Mental Health Forever
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Psychedelics are making a comeback, and this time, they're dressed in the respectable garb of clinical research. Recent studies have reignited interest in these substances, particularly psilocybin, the active compound in magic mushrooms, as a potent treatment for major depressive disorder (MDD).
6. Missing cat reunited with owner after it disappeared during Alaska flooding
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Twenty-six days after he went missing, an adorable black and white cat named Leo has been reunited with his family. Brave Leo went missing after historic glacial flooding swept away his home and all his owner's belongings.
7. Dogs perform Mozart with orchestra in Denmark
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A classical music festival in Copenhagen, Denmark, has opened with some canine additions to the orchestra.
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That's it for this week :)
This newsletter will always be free. If you liked this post you can support me with a small kofi donation here:
Buy me a coffee ❤️
Also don’t forget to reblog this post with your friends.
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ts19009 · 10 days
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Hong's Anatomy: Part 1
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Pediatrician surgeon!  Joshua x pediatric surgeon!  Female Reader 
Synopsis: Coming to Grey Sloan Memorial Hospital wasn’t on your bucket list, that’s for sure, but when you meet the head of your department, Joshua Hong, it's one of the only things that constantly brightens your day. 
Warnings: swearing, made up medical terms and procedures, i have no idea if any of this is medically accurate it’s just for story, flirting, no smut…yet?
Words: 3.5k (not quite 5k words, but I had to end this part like this)
NOT EDITED, SO I MAY GO BACK AND EDIT LATER (teehee)
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“Julia Harring, fifteen years old, kidney failure. Waited six months on the donor list and today is finally the day,” Surgical intern Jonah read, as Julia nodded.  
“Why do both of you have to work on me? I thought it was only one big fancy surgeon per patient?” Julia asked, referring to both you and Joshua. You chuckled and checked her monitor to record her stats. 
“This is a bigger surgery Julia. You should be grateful that Doctor Hong and I are both making sure that your transplant goes well.” Julia rolls her eyes and smiles. 
“I have to go see another patient, but I’ll see you in the OR,” Joshua smiles, as you nod and Julia waves, before making his way down the hall. 
Julia smiles and looks at you from the corner of her eye, “he’s hot.” 
“You think so?” You joke back, as she nods. “Doctor Hong is quite popular here, so I’m sure you aren’t the only one that thinks that.” 
“Including you?” 
You pause in the middle of changing her I.V to look around the room. Luckily there was no one, but if anyone did here, it would be incredibly embarrassing. 
“I think Doctor Hong is a lovely person and an incredible surgeon, I haven’t paid attention to his appearance,” you state resuming changing the I.V as she scoffs. 
“Please, you were both making eyes at each other the whole time. Don’t tell me you don't like even thinking of becoming a thing with him?” Julia said, lifting her arm both for the I.V and to shrug. 
“I don’t have time to make it a ‘thing’ with Doctor Hong Julia. If I was a ‘thing’ with Doctor Hong, I wouldn't have time to help you,” you say inserting the I.V causing Julia to wince. “Don’t touch the I.V for a bit, I’ll get someone to catch up with you right before the surgery.” Julia nodded, as you left the room and asked Green to check up on Julia’s vitals before the surgery and report to you before your pager went off to go down to the pit. 
“What’s going on?” You asked, watching a whole bunch of people benign wheeled across the pit and placed in the rooms. 
“School bus accident, dozens of kids were injured,” Joshua exclaimed rushing to room one, “go to room five.” 
You nodded and put on a fresh pair of gloves before making your way into room 5. “What’s their case?” 
“Mikayla Thurthey, nine years old. Broken arm, broken rib, punctured lung. If we move the fractured rib or anything on the right side the lung starts leaking and fluid can flood the lung,” Mingyu said, working busily around the room. 
“Shit,” you muttered under your breath, watching the little girl in front of you crying. “Can we get an OR?” We need to fix the arm and fix the lung right now?” Mingyu nodded, and started wheeling Mikayla down the hall to the elevator. While you were running down the hall, you saw Joshua giving a boy CPR and pulling out a crash cart. 
“Clear!”
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“Okay, can you work on the lung. I can do the arm?” Mingyu asked, as you nodded and started washing your hands. 
“How many more kids were like this?” You asked quietly. Slightly terrified of the answer. 
“Just two. Mikayela and Justin, the boy Josua was working on. The rest were hurt, but with a few broken arms and legs or whiplash. These two were at the back and got the grunt of the force from the accident.” You nodded, and took a deep breath.
“Let’s do this,” you said, as you both headed into the OR. 
Once you had gotten to the lung you noticed the puncture and started thinking about what to do. You moved quickly and removed the debris and instructed Green to keep consistent suction on the site to prevent the fluid from flooding the lung while you started working on repairing the site. 
“More suction Green,” you calmly asked, as Green got closer into the site. “Mingyu?” 
“Yeah?” He asked, not looking up. 
“She’s hypotensive, can you back off the arm from a second,” you said, as Mingyu backed away from her arm and looked over to see you working on trying to steady her episode. 
“Green? What do you do when someone is hypotensive?” You asked, as Green paused for a moment, but quickly responded. 
“Ensure effective manual ventilation of the lungs,” He responded confidently. 
“Yes, but she’s already on ventilation, and it’s not helping,” you challenged. 
“I don’t know then,” he confessed as you nodded. 
“That’s okay, we’re going to get you to not only suction but also apply some air pressure on the site to make sure that it’s getting ventilated properly. It’s okay that you don’t know, this doesn’t happen very often,” you reassured him, as he nodded and started applying the pressure. A few moments later, her vitals went back to normal and Mingyu resumed working on her broken arm again. 
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After the surgery, you were given a lunch break, so you decided to eat outside in the ‘greenhouse’ section of the hospital. Once you got there you saw Joshua sitting on the bench you’ve claimed, crying. 
“Joshua?” You asked, slowly approaching him. He quickly spun around and wiped his tears away. 
“Oh. Hi, sorry,” he started, “I was just leaving.” 
“No, please don’t go,” you reached out, “are you okay?” 
You assumed it was because of the boy, Justin, was the reason Joshua was crying, but you wanted him to tell you. 
“I should be better with losses. I’ve had a ton of them,” he sighed, “but Justin was so scared when he was awake, he kept asking for his dad and asking me if his friend Mike was okay.” You empathetically nodded and placed a hand on his shoulder as he started to cry more. 
“You did everything you could,” you tried to reassure him. 
“I know I did. I always try my very best and it wasn’t enough. He died scared and alone,” he sobbed. “He didn’t die alone,” you interrupted. 
“You were there with him, Rose was with him, there were people who cared about him when he died. He wasn’t alone.” Joshua took a deep breath, trying to calm down his breathing, and nodded. 
“How did your surgery go?” He managed to stay in stuttering breaths. 
“It went well. Managed to fix her punctured lung and broken arm and I had a teaching moment with Green,” you said, as Joshua wiped his nose and nodded. 
“That’s good.”
You both sat in comfortable silence watching the clouds move above your heads, before his pager went off. 
“I have to go check on Julia. Her surgery is right after your lunch, so I’m gonna go make sure everything is okay,” he said, wiping his nose one last time and standing up, wiping his hands on his pants. 
“Okay, I’ll be there right when I’m done,” you smiled, as he nodded and started to head in before pausing. 
“Thanks for letting me talk and comforting me like that. I’m supposed to do that for you.” 
“We can treat it like a currency, I’ll comfort you, if you comfort me later?” You joked, as he chuckled, and looked down at the grass. 
“So I’m in debt, great. Haven’t dealt with that in a while,” he joked back before heading inside. Leaving you alone to think about the vulnerable moment you just shared. 
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“Doctor L/N?” Joshua asked, coming up to wash his hands right next to you. 
“Doctor Hong?” 
“Would you mind keeping our interaction, more specifically the… crying aspect of the conversation, private?” He whispered, as you nodded and shut off the water. 
“Of course. I expect none the less when it comes my turn,” you said as he turned to see you and smiled, before putting on his mask.
“Let's go save a life.”
You nodded and walked into the OR to see some nurses you've never worked with before. Jennie, Yuna, and Jake, and a new anesthesiologist Jay. 
“Hello everyone, let’s save this girl's life,” you said, as everyone nodded in agreement and started getting to work. Joshua made the first incision while you made sure the bleeding was controlled and moved a few organ’s around. Jonah had just gone to receive the kidney, since it was very delicate and had to be handled carefully and in a timely manner. 
After about thirty minutes of Joshua making sure everything was okay, you started to make an incision on the lower abdomen to make room for the new one when Jonah came into the room with the new kidney. 
Joshua took the kidney and slowly took it out while you back up a bit to let Joshua fit it in the new cavity. He placed it in when all the sudden the monitor started beeping rapidly. 
“What’s happening?” Joshua asked, trying to not move too quickly and damage the kidney. 
“She’s clotting and bleeding out!” You said, grabbing the suction and trying to clean up the pool forming. “Push Coumadin and get me some rag’s please!” You instructed Yuna and Jennie as they nodded while Jay worked on adding the Coumadin. “Put the kidney back, it’s gonna be a bit.” Joshua nodded and carefully put the kidney back and started moving to stitch up the bleeding. 
You waited a few moments for the blood thinners to kick in but they weren’t working quick enough. 
“Push more Jay!” You exclaimed, as Jay nodded and added more. Finally her blood started to thin out and her vitals were getting better. Joshua quickly finished up the stitches and picked up the kidney again placing it in the cavity and working on attaching it properly. 
Right before closing Julia up you noticed some of her numbers weren’t looking quite right and didn’t want to stitch her up with unbalanced numbers.
“Can we test the kidney before we close?” You asked Joshua, as he nodded. You watched it, waiting for the color to appear into the kidney, which normally took up to two minutes after being placed in the body. 
“Shit.” Joshua said, looking up at the clock. It had been about four minutes and the kidney was starting to look gray, instead of coloring. “It’s dying!”   
“We’ve opened up a spot for her though,” you mumbled, trying to think of a solution when all the sudden the machines started beeping.
“She’s crashing!” Rose said, as everyone started running around. 
“We did everything right! What’s going on?” Joshua confessed as you heard the machine flatline. “Shit, get the crash cart!” 
You started compressions, and whipped your head to look at Joshua who was looking at her vitals wondering what was going wrong in the surgery, wile Rose handed you the paddles.
“Charge to 300. Clear!” You said, as Juila convulsed, but no heartbeat. 
“Clear!”
350, “Clear!” 
400, “Clear!”
“Charge to 450,” you exclaimed as Joshua sighed and looked at you trying desperately to save Julia. 
“Y/N,” he muttered, “she’s gone,” he said. Trying to pry you from her body. 
“No, she was in here for a kidney transplant, not a heart failure!” You cried, looking around the room to see everyone with their head down. 
“Time of death, 17:21.” Joshua said, breaking the silence. You looked to Joshua to see him covering the incision and started to feel sick. 
“Can you close alone, Doctor Hong?” You asked, as Joshua nodded. You quickly took off your mask and gloves and darted out of the OR.
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“Y/N?” Joshua asked, walking up to you at the Ped’s desk. You were looking over Julia’s charts again. 
“I don’t get it. She was fine, they wouldn’t have given her the kidney if she wasn’t fine, why did her heart just stop like that? The blood thinners don’t stop your heart like that, it must have been something else,” you exclaim, not looking up from your tablet. 
“You’ve been here for a long time, you need to go home. You can do some more research when you get back,” Joshua pleaded, trying to take the tablet from you. 
“Joshua…” 
“No, Y/N. You had two long surgeries, you’ve been here for twelve hours. You legally have to go home now,” he chuckled, but you could tell he was serious. Technically, he was your boss. So you listened and slowly put the tablet down. 
“Julia was my first loss. I’ve been here for almost a month and she was my first loss,” you quietly confess. Joshua wouldn’t have heard it if he wasn’t facing you.
“You’re very lucky you’ve gone this long without a loss,” he answered. 
“I know. My last job, I lost two kids on the first day, but it doesn’t make this loss any easier.” 
“Of course,” he said, “the hard part about this job, right?”
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Letting the loved ones know that they just lost their person is always the hardest part and unfortunately, that was Joshua’s job today. Julia’s parents were in the waiting room and her father was pacing around the room. 
This was also the hardest part of the job. 
“Excuse me, Mr. and Mrs. Harring?” Joshua asked the couple as they both nodded and stood up. 
“Is Julia out yet?” Her mother asked. 
“There was an unfortunate complication during Julais’ surgery. We were performing her transplant when her heart suddenly stopped beating,” Joshua explained, “we tried everything we could, but we couldn’t save her. She unfortunately passed away.” 
Julia’s mother covered her mouth whilst letting out a sob, and her father furrowed his eyebrows in confusion and held his wife. 
“What? I thought she was in there for her kidney? How did her heart stop?” Her father asked, tears also running down his face. 
“We aren’t sure, the operation was going extremely successful. Neither I, nor Doctor L/N could figure out why. We tried everything we could though to try and start her heart again,” Joshua explained again, as her mother turned around and buried her face into her husband's shoulder, crying even harder. 
“I’m so sorry for your loss.” 
“Thank you Doctor,” her father choked out, before turning and burning his face into his wife's hair and crying as well. 
Joshua waited for a few seconds before heading back to the desk. He sighed, and ran a hand through his hair before grabbing his tablet and started filling out paperwork. 
He had lost two patients that day. He was also ready to go home. 
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“So, how’s your new job Y/N?” Your therapist asked. 
You had been going to the same therapist ever since you graduated college. She was a lovely woman that you met when you lived back in South Korea. She really helped you during your internship and residency. You managed to keep in close contact with her even after you moved. 
You sighed into the phone and took a sip of wine. 
“It’s going well, I really like my coworkers. I’m still getting used to it and I haven’t made any real friends,” you confess. 
“Why haven’t you made any friends?” She asked, you could hear her typing away on her laptop. 
“Well at first I was just trying to keep up with the pace of the hospital. Then I was trying to just be liked by everyone. I never took time to get to know anyone,” you said, “I did ask someone out.” 
“Oh! That’s good. Tell me about them,” she exclaimed. 
“He’s technically my boss? Kinda, he’s the head of the Ped’s department, so we work together quite a bit. On my first day he asked me out, then the next day I asked him out, but we haven’t hung out since.” 
“Are you wanting anything romantic out of him?” You sighed, and took a minute to think about the question. Not quite sure if you knew the answer. 
“I don’t know. I mean he is very attractive and we do have pretty good chemistry,” you blush, “but again, we work together. So it’s complicated.” 
“That doesn’t sound like a no.” 
“Jisoo,” you warn, “it’s not a no, but I don’t want to rush into anything.” 
“That’s perfectly valid, but you’re all alone in a big city. Romantic intentions or not, you should still try and spend some more time with him,” she said, as you sighed. There was only a few minutes left in your session, so you both called it a night and promised to call again next month. Something you weren’t expecting from Jisoo though, was homework. 
Make one close friend by next month. 
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You were always the type of person to do your homework immediately. Assigned all the semester's course work? It was done by the end of the month. So when you got homework from Jisoo, you wanted to get it done immediately. Which meant that you needed to get started immediately. 
Joshua wasn’t coming in until halfway through your shift, so that meant that you had half a day to come up with ideas of how to befriend others. 
“Why the long face?” Jeonghan asked. You never really see him in the Ped’s department, so seeing him was a surprise. Now was the time to try and make a new friend.
“I was just thinking how it’s a friday and that I don’t have any plans after work,” you confessed, “do you want to go for dinner after work?” 
“Dinner?” He asked, you could tell he was quite taken aback, but he had a smirk on his face. “I’d love to.” 
“Great. I get off at seven, but I’d like to go home and freshen up,” you said, as Jeonghan nodded. You both exchanged numbers and agreed that he’d pick you up from your apartment at eight, and go out to dinner. 
Good progress toward your homework. 
“See you at eight,” he smirked, before heading into one of his patients' rooms. 
“Did you just score a date with Doctor Yoon?” Jake asked, as you turned around and tried to hide your blush. 
“Maybe, he didn’t call it a date,” you replied. Jake rolled his eyes.  
“I heard that whole conversation. It’s a date Y/N.” 
“What’s a date?” You heard behind you. More specifically, Joshua’s voice. 
Shit.
“Y/N is going on a date with Doctor Yoon,” Jake answered. You looked to Joshua to see a little look of surprise on his face. 
“It’s not a date, I’m just trying to make some friends,” you mumbled, “and Doctor Yoon seems like a good friend.” 
“He is a very good friend, I would know. He’s my best friend,” Joshua said, putting his hands in his pants pockets and crossing his legs. 
Shit. Again. 
You just set up a date with your boss/kinda crushes best friend.
A/N: OMG, this was quite the chapter. I had a lot of fun learning/ making up some medical procedures. I tried my best to be as medically accurate as possible, but google can only tell you so much. Also, Jeonghan has been added into the arena! I love the banter that Joshua and Jeonghan have and I just new that I had to have his smirky/sassy attitude! I really do hope you like this ♥
taglist: @asasilentreader , @myjaeyunn
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drforambhuta · 8 months
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Influential factors affecting kidney transplant success in diabetic patients are:
1. Patient Selection: The key to achieving successful kidney transplantation in diabetic patients lies in meticulous recipient selection. This involves a thorough assessment of the individual's overall health, age, diabetes duration, presence of concurrent medical conditions, and psychological factors. Patients with well-managed diabetes and no severe cardiovascular issues generally have the best prospects for positive outcomes.
2. Source of Donor Organ: Exploring the origin of the donor kidney has a profound impact on success rates. Kidneys from living donors typically yield better results compared to organs from deceased donors, thanks to their inherent healthiness and shorter cold ischemia times.
3. Immunosuppression: The use of immunosuppressive medications post-transplantation is crucial to prevent organ rejection, but it requires a delicate balance. Achieving this equilibrium between adequately suppressing the immune system and avoiding complications like infections and cancer is particularly important for diabetic patients, who already face an elevated risk of these issues.
4. Surgical Techniques: Advancements in surgical methods, including minimally invasive procedures, play a crucial role in enhancing the overall success of a kidney transplant procedure. These techniques help reduce surgical complications and expedite recovery, which is especially vital for diabetic patients.
5. Diabetes Management: Diligent and effective diabetes management is of utmost importance for kidney transplant recipients. Vigilant control of blood sugar levels after the transplant is essential to prevent complications such as delayed wound healing and graft failure. Seamless coordination between transplant and endocrinology teams is pivotal in this aspect.
6. Psychosocial Factors: Beyond the medical aspects, psychosocial factors, encompassing the patient's mental and emotional well-being, family support, and access to education, can significantly impact transplant success. Thorough psychosocial assessments and support are integral components of the transplant process.
You can contact some of the best nephrologists at Indraprastha Apollo Hospitals, New Delhi, to increase your chances of a successful kidney transplant procedure. The cost of kidney transplant in Delhi will vary depending on the health of the patient, the type of kidney transplant surgery being performed, and the doctor and hospital chosen for treatment.
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cjsees · 1 year
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I hope your kidney transplant goes well man!
lots of love, 🐚 anon
Hello and thank you! you have inadvertently started what I think may be the most baffling and fascinating mystery I've stumbled onto in months
when I initially got this anon ask I assumed it was a one-off with a strange sentiment (as far as I know, I'm not going in for a kidney transplant anytime soon), but ultimately harmless, until
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I was briefly on @dddeerbo's blog (sorry for the @!) when I came across this ask, with a very similar structure, except without the addition of an identifier (the "shell anon"). the only connecting thread/similarity aside from that is that both this artist and myself have posted tf2 content pretty recently. I did a cursory check with some of my friends and
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@cabinette offered me this later the same night, with different wording and type of surgery but the same structure: a medical procedure that "went well". cabin also posts tf2 so that gives us something to go on, but it gets even more startling given a cursory tumblr search, because apparently this has been going on for some time:
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@spengsart (sorry for the @!) posted this ask with, again, the same subject, but in august of 2022, almost exactly eight months ago, and due to their response it looks like they weren't exactly about to go in for a kidney transplant either. all very odd, especially considering the time discrepancy, until we come to the final piece in my search so far, which is by far the most intriguing and baffling one:
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@pinkcowie offered me these asks, which implies several things:
you, the shell anon, are a mutual with cab, dddeerbo, spengsart, and me, but not pinkcowie
the only connecting thread I've been able to pin down is that all of the above post tf2 content/have posted it fairly recently
all of your mutuals are getting kidney transplants and/or brain surgeries, but none of your non-mutuals are???
so dear shell anon please know that you have absolutely perplexed me AND given me the most interesting afternoon I've had in months. please. please give me more crumbs. I need to find out who you are. I will find this out should it be the death of me. I'm in too deep. I love and fear you. I need to know
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ejzah · 1 month
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A/N: Here we come to the end of yet another story. Thanks once again for for your support and love for this story.
***
The Other Shoe, Epilogue
One Year Later
Deeks moved around the kitchen, dicing some onions, stirring a pan of chicken, grabbing a couple of cloves of onion. He’d gotten home from work 45 minutes ago, and started in on dinner, knowing Kensi would be back later than him.
In the last year, a lot had changed. For one, he could walk down the beach, even run, without feeling like he’d collapse. He’d recovered from his transplant surgery better than could be expected. Although he had returned to most of his previous activities pre kidney failure, he had officially resigned as an investigator upon receiving his medical clearance.
Now, he supervised a team of NCIS lawyers and assisted with modifying agency procedures and guidelines as needed. Much like his job as liaison, he had a feeling that the position had been designed specifically for him. It was hardly what Deeks had expected for himself, but he found he enjoyed most of the work.
A timer on his phone beeped and he absentmindedly turned it off, grabbing the medication sorter off the counter, and popping the contents in his mouth along with a swallow of water. Humming a John Denver song under his breath, he continued cooking. He heard the front door open and close, and called out,
“I’m in the kitchen!”
Deeks looked over his shoulder as Kensi walked in, barefoot and in a tank top and jeans.
“Hey, welcome home, Lady Bird of my Heart.”
“Hey. Ooh, what’s for dinner?”
He grinned at her eagerness, nodding to the pan of peppers and onions. “Fajitas and semi-authentic rice. How was work today,?”
“Good. I taught a baby agent how to disassemble an incendiary device hidden inside a truck,” Kensi told him excitedly. Deeks turned around completely, his eyebrows high enough to touch his bangs.
“You what now?”
“It was a simulation,” she clarified quickly. Deeks visibly relaxed.
“Could have led with that, baby.” He left the stove to wrap his arms around her, and kissed her temple. Kensi tipped his chin down to kiss him more firmly on the mouth.
“Sorry. I just got excited,” she explained. “As much as I don’t miss the danger, I do miss the adrenaline rush that comes with fieldwork.”
That was another big change; shortly after Deeks settled into his new position, Kensi decided resign as well. Kilbride hadn’t been pleased to lose two of his team within months of each other, but ended up recommending Kensi for a supervisory position as well. She now trained incoming agents fresh out of FLETC to prepare them for their first real field experiences.
“I know you do,” Deeks said softly. He also knew his health crisis had played some part in her decision to step down. Thought Kensi insisted it was for many reasons.
“How about you? How was your day?” Kensi asked, reaching over his shoulder to sneak a piece of chicken.
“The new edits to the handbook were accepted. Finally got the definition and duties for an NCIS investigator clarifies more thoroughly.”
“That’s been bugging you for years! Congratulations.” Kensi kissed him again, as though he’d performed some impressive feat.
“I mean, it’s not nearly as exciting as yours,” he pointed out.
“Hey, don’t downplay your efforts. Because of you, future investigators won’t have to wonder about their scope of duty. Of course, it also means they won’t be able to use it to their benefit like you did.”
“True. It was fun to mess with you guys.”
“Yes, I know,” Kensi said dryly. She slid a hand up into his hair, leaning into him. He felt the gentle rounding of her stomach pressed against him, and he brushed his fingers over it.
“And how’s Baby Deeks-Blye today?” he asked.
���Happy and hungry.”
“Dinner will be ready in a few minutes.” He grinned again, squeezing Kensi against him. “Does baby want salsa tonight?”
“Definitely,” Kensi responded immediately. She slid out of his arms, heading for the cabinets. “I’ll set the table.”
Deeks watched her for a few moments, overwhelmed by the simple delight of it all. Last year, he thought he might die, and here he was healthy, happier than ever, a baby on the way.
Yeah, a lot had changed. He’d always be on medication, he had to watch his diet to a degree, and his days chasing bad guys were gone forever, but he found it didn’t matter as much as he thought it would.
In the end, he was just happy for a second chance.
***
A/N: Sorry for the slightly cheesy ending. Hope you enjoyed this final bit of lightness after all the dark and angst.
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Could Gallifreyans donate organs to humans, and, if so, would human's need immunosuppressants?
Can humans donate organs to Gallifreyans, and how would this affect regeneration since it is not tissue that is Gallifreyan?
Gallifreyan/Human Organ Transplants
Now we're getting into the really fun stuff :D Let's explore what organ donations might look like between humans and Gallifreyans.
🧬 Gallifreyan to Human Organ Donation
Gallifreyans can donate certain organs to humans due to their unique physiology, which isn't limited by the typical biological barriers faced in human-to-human transplants.
1️⃣Preparation
Gallifreyan organs must first be conditioned to process and 'understand' human blood, which can be achieved through:
Blood transfusions from the recipient for a few days;
Direct injections of the recipient's blood into the organ while the organ is still in the Gallifreyan;
A spacey-wacey magic machine that does this step.
This allows the organ to see and understand human blood cells before encountering them in situ. Also, the organ will be marked with a little genetic code from the recipient, resulting in much better chances the human body will accept it. This wouldn’t be a pleasant experience for the Gallifreyan by any means. For a nicer experience, the Gallifreyan can retreat to a trance or a healing coma state to allow their body to focus on processing.
If this isn't done:
The chances of rejection are dramatically increased;
If the organ is part of processing like a kidney, it could start trying to break down/eliminate red blood cells and white blood cells, leading to hypoxia and severe immunodeficiency for the human, inevitably resulting in death.
2️⃣Surgical Transfer
Transplant operations are similar to human procedures, with a few extra notes:
💉Anaesthesia: Anaesthesia needs to be adjusted very precisely for a Gallifreyan to adequately sedate them, else you could just end up paralysing them throughout the whole thing or killing them altogether.
🪨Durability: Gallifreyans need a little more gusto to get into due to their durable skin and muscle layers.
🩹More Heals: Their healing rate means the operation must be fast. Very fast.
3️⃣Post-Operative Adjustments
Human recipients might experience initial fluctuations in the organ's function as the Gallifreyan organ tries to adjust to a far less efficient environment. However, they'll benefit from an overall improvement in their biological functions in the long term.
❓Potential Organs
🫀🫀Hearts: Gallifreyans hearts are symbiotically linked and donating one is extremely complex and dangerous. The donor will lose significant biological advantages involving healing and energy, and if it really goes wrong mid-op, there could be a permanent death. Not to mention the heart has a slightly different structure to a human heart.
🫘Kidneys: This is one of the easier transplants to perform from Gallifreyan>Human, and the least complex.
🫁 Liver, Lungs, etc.: Theoretically possible, but each Gallifreyan organ will have its own unique challenges and side effects.
🩺 Human to Gallifreyan Organ Donation
Donating human organs to Gallifreyans is more problematic due to the advanced and different nature of Gallifreyan physiology, not to mention a little bit pointless.
🚫Inadequate Function: Human organs probably won't meet the physiological demands of a Gallifreyan body, so they're not much help.
🔁Regenerative Impact: Introducing human organs into a Gallifreyan could interfere with their regenerative abilities, potentially causing rejection or failure during a regeneration cycle, which isn't going to be pretty.
🌱Regrowth Through Healing: If the Gallifreyan has an elevated level (i.e., just after regeneration or some form of lindos therapy), it could be possible to regrow the organ using lindos, so chances are they won't need it anyway.
💊 Immunosuppression and Rejection
For Human Recipients:
Usually, in humans, the body will identify a donor organ as an infection and order the immune system to attack it—this is why donor recipients take immunosuppressants to inhibit the immune system’s function.
Immunosuppressant medication is not actually required here. A small, regular dose of artron in the form of an IV infusion (every month) will hugely reduce the risk of acute or chronic rejection. If this artron IV is unavailable, a blood transfusion from any Gallifreyan will be a good replacement—from the original donor, it's even better. If that isn’t available, immunosuppressants can be used, although it isn't ideal. If that's a no-go, then the kidney will be rejected.
For Gallifreyan Recipients:
While theoretically transplantable, human organs would likely be inadequate without significant modification and support, possibly involving Gallifreyan technology to enhance function and compatibility.
The risk of rejection is heightened, with severe consequences for the Gallifreyan’s health and regeneration capabilities.
🏫 So ...
Organ donation between Gallifreyans and humans, while theoretically possible, involves a bit of thought. For Gallifreyan to human transplants, it's very much a yes, but human to Gallifreyan organ donations are just a bit non - it's possible, but there are much easier ways to go about healing the Gallifreyan than giving them your lung.
Hope that helped! 😃
→🫀Gallifreyan Anatomy and Physiology Guide (WIP) →⚕️Gallifreyan Emergency Medicine Guides →📝Source list (WIP)
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hestiasroom · 7 months
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India: 80% Organ Donors Women; 80% Organ Recipients Men | Vantage with Palki Sharma
Transcript:
Now let's talk about something that's seldom discussed: organ donation in India. One person is added to the organ donation waitlist every 10 minutes - one person every 10 minutes. It tells you how grave the situation is.
Turns out it also has a gender problem and this is according to the latest data that has come out. Four out of five organ donors in India are women. What about those who receive organs? Four out of five recipients in India are men; in other words 80% of the donors are women but 80% of the recipients are men. So why are these numbers so skewed? Our next report tells you.
Last December Indian politician Lalu Prasad Yadav underwent a kidney transplant. Sounds like a normal procedure a simple transplant surgery but it made headlines everywhere. Why? Because the donor was his daughter Rohini Achara. It was shown as a story of sacrifice; a daughter doing what she could to save her father.
The optics were great but data suggests this is the reality of India's organ donation. It's all about sacrifice and usually it's about sacrifice by women. A recent study analyzed organ donations from 1995 to 2021. 36,640 transplantations were carried out in India; 29,000 of them were for men only. 6,945 were for women. If you put those numbers into perspective basically men were 80% of the total recipients for organ donations but when it comes to donations it's a completely opposite scenario.
Women make up for 80% of the organ donors and who are these women? They are usually wives or mothers when their son or husband needs an organ they are the first to volunteer which makes them living organ donors. You see, organ donation is easier between family members this means they are genetically easier this lessens the risks of rejections but what explains this disparity?
Well the answer is socioeconomic pressure in our society. Men are seen as Breadwinners; women on the other hand are seen as caregivers. More often than not they feel pressurized to donate their organs. On the other hand men think twice in a situation like this; they hesitate to go into surgery which means most men donors in India are cadaver donors. That means they donate their organs only when they're dead.
These are stories that make for great headlines: a mother giving a kidney to her son, a wife giving her liver to her husband. They are shown as the Messiah of sacrifice and it's society that is to blame for this. Organ donation shouldn't happen under any sort of pressure it should be a choice that one should take freely.
That said the whole picture isn't too great also India's organ donation rate is quite bleak. It stands at 0.52 per million people. Every 10 minutes one person is added to the waitlist. In 2022 over 2 lakh patients needed a kidney transplant. Guess how many got it? It was only 7,500 people. That's just 3.4% so you get the gist the numbers are bad which is why more people need to step up not just women but more people should be open to donating organs. It's an act that saves lives.
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tretmentpossible · 2 years
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hellsdisneyprincess · 1 month
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((doing research while at work regarding medical breakthroughs/events and dang. I can't settle on a single decade because all of them are so interesting in different ways.
1910s - WW1 and Spanish Flu, also vitamins become known
1920s - the Roaring 20s and several major vaccines
1930s - Great Depression, electroshock therapy and lobotomy
1940s - WW2 (and all the human experiments that come with that), dialysis machine, defibrillator, chemotherapy, and acetaminophen
1950s - Korean War and Vietnam War, polio vaccine, kidney transplant, pacemaker
1960s - Still Vietnam War, lots of first for transplants and implants, several vaccines like mumps and measles
1970s - more Vietnam War, hippie culture -> recreational drugs, imaging advanced, liposuction, insulin pump
1980s - AIDS, advances in DNA and genetic science in medicine
Etc. so I have a LOT of options to go from to get some interesting things going for a potential new OC. We'll see what I decide to land on. Though this could also be good if any of y'all want to see what's broadly going on with medicine when your character lived and died I guess lol.))
EDIT: to make it clear, this is far from exhaustive. Just the parts that interested me or I felt might come up for a potential character. It also doesn't take into account when certain practices stopped (such as lobotomy) or when procedures became more widely used or viable. But still, can be useful info.
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bayoubodycount · 3 months
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10 Shocking Facts about Me Tag Game
Thanks for the summons @saintstars!
I was gifted TTOTBT when I was fifteen. I didn't start with that book. Nor did I start from the beginning. I found The Vampire Armand, devoured that, THEN began the series in order.
I've had a kidney transplant. Obviously you have to be very well matched with your donor but when my pre-op nurse told me that I'd hit 6 out the 6 criteria markers for compatibility with my match, she said it was akin to the probability of having an unknown twin coincidentally donating.
When a doctor assures you that only .00001% of patients experience something going wrong with a procedure, I have fallen into that tiniest of percentages so many times it's literally a statistical anomaly.
Randomly ran into a school friend when I was an exchange student in Switzerland and my host family took me to Paris. Saw her and her family at the Hard Rock Hotel.
First time getting stung by a bee, I was at school running and the fucker flew inside my mouth and got me. Spent the rest of the day sucking on ice cubes.
Same school a few years earlier, got my finger stuck in a classroom door. When getting me into the car to go to the ER, my teacher slammed my finger in the car door, making damn sure it was broken in two places.
Was diagnosed with a highly aggressive form of kidney failure 3 weeks after my son was born and was told I'd never live to see him enter high school. Last year I watched him graduate high school!
From 7th grade to freshman year in college I lost 9 friends. 3 of them over 1 weekend in unrelated suicides. 
Actress Courtney Thorne-Smith(from Melrose Place) came to the supermarket I was working at when I was like 21(I grew up in a town often referred to as the Beverly Hills of NorCal) she proceeded to treat many of my coworkers like absolute shit. When helping her out to car she asked if I watched Melrose Place. I took the opportunity to inform her that, “TV shows about business cunts sleeping their way to the top while causing unchecked drama” wasn't really my thing.
One of my grossest childhood injuries was from playing on the bars on the playground too much. I was also in gymnastics at the time, so that didn't help. But I guess I had a large blister starting up on my palm…which one day happened to slide off…yes the blister was the size of my whole palm and it burst. Didn't realize it until a friend pointed out my hand was bleeding like crazy. Thank GAWD it didn't hurt( but it did look pretty gross).
Tagging: @eyesofatragedy67, @punk-is-notdead, @mycupofstars, @keybearer92, @thefairylights, @marshmallowmatey, @cmorgana, @theradioactivespidergwen @fire-gift, @penguinsandbats
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